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1801. Appendix F. Hospital Practice Insights: Challenges and Solutions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apf.html
      October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Appendix F. Hospital Practice Insights: Challenges and Solutions Previous Page   Table of Contents Pressure Injury Prevention Program Implementation Guide Overview Get Ready Pressure Injury Prevention Program Phases Appendix A. RACI Cha…

1802. Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Zhang.pdf
      January 01, 2004 - Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology 323 Evaluating and Predicting Patient Safety for Medical Devices with Integral Information Technology Jiajie Zhang, Vimla L. Patel, Todd R. Johnson, Philip Chung, James P. Turley Abstract Human errors in med…

1803. Chartbook on Effective Treatment: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/effectivetreatment-slides.html
      April 01, 2018 - Chartbook on Effective Treatment: Slide Presentation National Healthcare Quality and Disparities Report Introduction Cardiovascular Disease . Cancer . Chronic Kidney Disease . Diabetes . HIV and AIDS . Mental Health and Substance Abuse . Musculoskeletal Diseases . Respiratory Diseases . …

1804. Final Progress Report: TIPI Systems To Reduce Errors in Emergency Cardiac Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/selker-report.pdf
      January 01, 2024 - Final Progress Report: TIPI Systems To Reduce Errors in Emergency Cardiac Care Final Report TIPI Systems to Reduce Errors in Emergency Cardiac Care Principal Investigator: Harry P. Selker, MD, MSPH Tufts-New England Medical Center, Boston, MA Dates of Project: September 15, 2000, to August 31, 2004 Project Offi…

1805. Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
      June 04, 2008 - Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process Designing the Built Environment for A Culture and System of Patient Safety – A Conceptual, New Design Process Kenneth N. Dickerman, ACHA, AIA, FHFI; Paul Barach, BSc, MD, MPH Abstract There is growi…

1806. Final Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program: Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/finaldesignplan.pdf
      September 01, 2015 - Final Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program: Summary Final Design Plan for the National Evaluation of the CHIPRA Quality Demonstration Grant Program: Summary Prepared for: Agency for Healthcare Research and Quality Rockville, MD Contract No. …

1807. Measures of Implementation of Person-Centered Care Planning for People with Multiple Chronic Conditions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/measures-rapid-scan-report.pdf
      April 10, 2025 - Measures of Implementation of Person-Centered Care Planning for People with Multiple Chronic Conditions Patient-Centered Care Planning for People with Multiple Chronic Conditions (PCCP4P) Task Order: 75Q80124F32002 Task #2b: Rapid Scan 1 AHRQ Action IV Task Order #16 Patient-Centered Care Planning for Peo…

1808. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/sands.html
      August 01, 2017 - Advances in Patient Safety and Medical Liability Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commen…

1809. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
      April 01, 2018 - Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool 1 Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool Section 1. Basic Measure Information 1.A. Measure Name Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool 1.B. Measure Number 0143 1.C. Measure Description …

1810. Spreadnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
      June 02, 2025 - SAY: The Spread module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit helps all or part of an organization share, tailor, and use the components of a process that have worked well at the unit level. The other CUSP Toolkit modules focus on quality improvement projects at the unit level, where culture i…

1811. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/dailycare-processes-slides.pptx
      January 01, 2017 - Presentation: Program Overview Measure Descriptions for Daily Care Processes AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-44-EF January 2017 DCP Measure Descriptions ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectives After this session, yo…

1812. Questions & Answers: The CAHPS Patient Narrative Elicitation Protocol (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/elicitation/cahps-patient-narrative-elicitation-protocol-qa-03-01-2017.pdf
      January 01, 2017 - Questions & Answers: The CAHPS Patient Narrative Elicitation Protocol QUESTIONS & ANSWERS The CAHPS Patient Narrative Elicitation Protocol: A Scientific Approach to Collecting Comments on Experiences of Care Narratives from patients about their health care experiences can provide a valuable complement to standar…

1813. Final Progress Report: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Approach to Understand Diagnostic Failure and Facilitate Improvement for Patients with and without Mental Illness (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/isbell-boudreaux-report.pdf
      January 01, 2025 - Final Progress Report: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Approach to Understand Diagnostic Failure and Facilitate Improvement for Patients with and without Mental Illness Title of Project: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Ap…

1814. Cost Effectiveness of a Multifaceted Program for Safe Patient Handling (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
      January 10, 2005 - Cost Effectiveness of a Multifaceted Program for Safe Patient Handling 347 Cost Effectiveness of a Multifaceted Program for Safe Patient Handling Kris Siddharthan, Audrey Nelson, Hope Tiesman, FangFei Chen Abstract Objective: The Patient Safety Center in the Veterans Health Administration (VHA) introduced …

1815. Low Tidal Volume (Lung Protective) Ventilation Literature Review | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-lit-review.html
      January 01, 2017 - Low Tidal Volume (Lung Protective) Ventilation Literature Review AHRQ Safety Program for Mechanically Ventilated Patients Low tidal volume (lung-protective) ventilation (LTVV) is associated with decreased acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) progression as well …

1816. Displaying the Data in a Health Care Quality Report | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/translate/display/index.html
      May 01, 2019 - Displaying the Data in a Health Care Quality Report Graphs and tables remain the most efficient and practical way to convey a large amount of information, especially comparative information and numbers. Visual presentations are powerful tools for concisely making points that are hard to put into words. Howe…

1817. Webinar Transcript - National Quality Strategy Webinar: Using Measurement for Quality Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/events/webinar-using-measurement-for-quality-improvement.html
      November 01, 2016 - Webinar Transcript - National Quality Strategy Webinar: Using Measurement for Quality Improvement September 17, 2014 Download accessible version of slides (PDF, 2.4 MB) National Quality Strategy Webinar: Using Quality Measurement for Improvement. September 17, 2014 [Slide 1] Operator:  Ladies and g…

1818. Final Progress Report:: The National Quality Forum – Annual Meeting 2003 (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/kizer-report.pdf
      January 01, 2024 - Final Progress Report:: The National Quality Forum – Annual Meeting 2003 THE NATIONAL QUALITY FORUM ANNUAL MEETING 2003 PRINCIPAL INVESTIGATOR: KENNETH W. KIZER, MD, MPH TEAM MEMBERS: C. BOCK, L. GORBAN, J. LEWIS, R. NISHIMI, E. POWER, M. STEGUN, L. THOMPSON 9/20/2003 – 9/19/2004 FEDERAL PROJECT OFFICE…

1819. Antibiotic Stewardship Program Development: Part 2 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-facilitator-guide.pdf
      November 01, 2019 - Antibiotic Stewardship Program Development: Part 2 AHRQ Safety Program for Improving Antibiotic Use 1 AHRQ Pub. No. 17(20)-0028-EF November 2019 Antibiotic Stewardship Program Development: Part 2 Acute Care Slide Title and Commentary Slide Number and Slide Title Slide Antibiotic …

1820. Chapter 1: Introduction (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1a.html
      April 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Chapter 1: Introduction (continued) Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary Reviewers 1. Introduction 2. E…